Individual
MICHAEL LEWIS MCCLINTOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6125 AIRPORT RD, ROANOKE, VA 24019-3813
(540) 344-4000
(540) 682-1155
Mailing address
1819 ELECTRIC RD STE 1B, ROANOKE, VA 24018-1605
(540) 344-4000
(540) 682-1155
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101257712
VA
207W00000X
Ophthalmology Physician
036.132924
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101257712
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
03/27/2026
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